How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $131.83 Median $1,258.93 Typical High $3,467.37 | Facility | None | $131.83 | $1,258.93 | $3,467.37 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $100.00 Typical High $141.25 | Professional | None | $61.66 | $100.00 | $141.25 |
BCBS Louisiana Setting Facility Modifier None Typical Low $66.07 Median $331.13 Typical High $1,230.27 | Facility | None | $66.07 | $331.13 | $1,230.27 |
BCBS Louisiana Setting Professional Modifier None Typical Low $60.26 Median $93.33 Typical High $112.20 | Professional | None | $60.26 | $93.33 | $112.20 |
Christus Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $147.91 | Facility | None | $66.07 | $83.18 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $97.72 Typical High $165.96 | Professional | None | $54.95 | $97.72 | $165.96 |
United Setting Facility Modifier None Typical Low $91.20 Median $407.38 Typical High $1,202.26 | Facility | None | $91.20 | $407.38 | $1,202.26 |
United Setting Professional Modifier None Typical Low $58.88 Median $102.33 Typical High $177.83 | Professional | None | $58.88 | $102.33 | $177.83 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $30.90 Median $41.69 Typical High $58.88 | Professional | 52 · Reduced service | $30.90 | $41.69 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $16.60 Typical High $23.44 | Professional | 53 · Discontinued | $12.30 | $16.60 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $63.10 Typical High $89.13 | Professional | 54 · Surgery only | $45.71 | $63.10 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $12.59 Typical High $17.78 | Professional | 55 · Aftercare only | $9.33 | $12.59 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $8.32 Typical High $11.75 | Professional | 56 · Pre-op care only | $6.17 | $8.32 | $11.75 |
Where Louisiana sits
The same service costs 2.8 times more in Alaska than in Pennsylvania. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 32nd of 51
$110
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.